Segmental Darier’s disease: A case report

Segmental Darier’s disease is an uncommon subtype of Darier’s genodermatosis, resulting from a mutation in the ATPase type 2 during early embryogenesis. It typically presents as a persistent, pruritic papular eruption following the lines of Blaschko. Histopathology of Darier’s disease demonstrates a...

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Main Authors: Elena Pastukhova, Lauren LaBerge
Format: Article
Language:English
Published: SAGE Publishing 2023-04-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231160938
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author Elena Pastukhova
Lauren LaBerge
author_facet Elena Pastukhova
Lauren LaBerge
author_sort Elena Pastukhova
collection DOAJ
description Segmental Darier’s disease is an uncommon subtype of Darier’s genodermatosis, resulting from a mutation in the ATPase type 2 during early embryogenesis. It typically presents as a persistent, pruritic papular eruption following the lines of Blaschko. Histopathology of Darier’s disease demonstrates acantholysis, dyskeratosis, and corps ronds. First-line treatment includes topical retinoids, calcineurin inhibitors, and synthetic vitamin D analogues. Severe disease may require systemic therapy with oral retinoids, immunomodulators, magnesium, and low-dose naltrexone. Segmental Darier’s disease is important to recognize both clinically and histologically as it may resemble other acantholytic Blaschkolinear dermatoses and should be considered in individuals presenting with a chronic localized papular eruption in a Blaschkoid distribution. Herein, we present a case of a 48-year-old male with segmental Darier’s disease who improved significantly following acitretin treatment.
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spelling doaj.art-ede54431288f49b7a6f96694ff655b232023-04-04T09:04:21ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-04-011110.1177/2050313X231160938Segmental Darier’s disease: A case reportElena Pastukhova0Lauren LaBerge1Faculty of Medicine, University of Ottawa, Ottawa, ON, CanadaDivision of Dermatology, The Ottawa Hospital, University of Ottawa, Ottawa, ON, CanadaSegmental Darier’s disease is an uncommon subtype of Darier’s genodermatosis, resulting from a mutation in the ATPase type 2 during early embryogenesis. It typically presents as a persistent, pruritic papular eruption following the lines of Blaschko. Histopathology of Darier’s disease demonstrates acantholysis, dyskeratosis, and corps ronds. First-line treatment includes topical retinoids, calcineurin inhibitors, and synthetic vitamin D analogues. Severe disease may require systemic therapy with oral retinoids, immunomodulators, magnesium, and low-dose naltrexone. Segmental Darier’s disease is important to recognize both clinically and histologically as it may resemble other acantholytic Blaschkolinear dermatoses and should be considered in individuals presenting with a chronic localized papular eruption in a Blaschkoid distribution. Herein, we present a case of a 48-year-old male with segmental Darier’s disease who improved significantly following acitretin treatment.https://doi.org/10.1177/2050313X231160938
spellingShingle Elena Pastukhova
Lauren LaBerge
Segmental Darier’s disease: A case report
SAGE Open Medical Case Reports
title Segmental Darier’s disease: A case report
title_full Segmental Darier’s disease: A case report
title_fullStr Segmental Darier’s disease: A case report
title_full_unstemmed Segmental Darier’s disease: A case report
title_short Segmental Darier’s disease: A case report
title_sort segmental darier s disease a case report
url https://doi.org/10.1177/2050313X231160938
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